Publications by authors named "Carla A Talarico"

Article Synopsis
  • Emerging SARS-CoV-2 sublineages continue to pose a risk for serious COVID-19 disease, particularly as many individuals haven’t been vaccinated in over a year.
  • A study evaluated the effectiveness of the mRNA-1273 bivalent vaccine against these circulating sublineages by analyzing confirmed cases and matching them to controls, revealing a decline in vaccine effectiveness over time.
  • The findings suggest that periodic revaccination with updated vaccines could be necessary to lower COVID-19-related health issues as the effectiveness of existing vaccines decreases against new variants.
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  • The bivalent mRNA-1273 COVID-19 vaccine, which targets both the original virus and the Omicron BA.4/BA.5 variants, has been authorized to enhance protection against COVID-19.
  • A matched cohort study showed that compared to those who only received monovalent vaccines, the bivalent vaccine had a 70.3% effectiveness rate in preventing hospitalizations due to COVID-19.
  • The bivalent booster not only sustained strong protection for over three months but also demonstrated effectiveness against medically attended SARS-CoV-2 infections (55.0%) and COVID-19 hospital deaths (82.7%).
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  • - The study analyzed the effectiveness of receiving a fourth dose of the mRNA-1273 vaccine compared to only three doses in people aged 50 and older, involving nearly 357,000 participants from Kaiser Permanente Southern California.
  • - Results showed that the fourth dose significantly improved protection against SARS-CoV-2 infection (25.9% more effective), COVID-19 hospitalization (67.3% more effective), and death from COVID-19 (72.5% more effective).
  • - However, the effectiveness of the fourth dose decreased over time, particularly 2-4 months after vaccination, indicating that while four doses offer better protection, the level of effectiveness can vary and diminish in various demographic groups.
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Background: Data on the effectiveness of the 3-dose mRNA-1273 primary series are limited, particularly in comparison to 2 doses. Given suboptimal COVID-19 vaccine uptake among immunocompromised populations, it is important to monitor the effectiveness of fewer than the recommended doses in this population.

Methods: We conducted a matched cohort study at Kaiser Permanente Southern California to evaluate the relative vaccine effectiveness (rVE) of the 3-dose series vs 2 doses of mRNA-1273 in preventing SARS-CoV-2 infection and severe COVID-19 outcomes among immunocompromised individuals.

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Article Synopsis
  • * The study, including over 123,000 individuals, finds that while three doses of the mRNA-1273 vaccine provide strong initial protection against infections, effectiveness diminishes quickly for newer subvariants like BA.2.12.1, BA.4, and BA.5 after the third dose.
  • * Hospitalization protection remains high with three doses but shows variability; four doses boost effectiveness but still drop significantly after a few months, indicating a need for evaluation of updated booster shots.
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Introduction: Head-to-head studies comparing COVID-19 mRNA vaccine effectiveness in immunocompromised individuals, who are vulnerable to severe disease are lacking, as large sample sizes are required to make meaningful inferences.

Methods: This observational comparative effectiveness study was conducted in closed administrative claims data from the US HealthVerity database (December 11, 2020-January 10, 2022, before omicron). A 2-dose mRNA-1273 versus BNT162b2 regimen was assessed for preventing medically-attended breakthrough COVID-19 diagnosis and hospitalizations among immunocompromised adults.

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Article Synopsis
  • The study compared the effectiveness of a COVID-19 booster vaccine (mRNA-1273) to the original two-dose series among immunocompetent adults in Southern California, tracking outcomes like infection and hospitalization from October 2021 to January 2022.
  • Results showed a significant increase in protection from the booster, with a relative vaccine effectiveness (rVE) of 61.3% against infection and even higher rates (89.0% for hospitalization and 96.0% for hospital death).
  • The effectiveness of the booster decreased over time, illustrating that while it provided strong initial protection, immunity waned after a couple of months, emphasizing the importance of ongoing vaccination strategies.
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Background: We conducted a prospective cohort study at Kaiser Permanente Southern California to study the vaccine effectiveness (VE) of mRNA-1273 over time and during the emergence of the Delta variant.

Methods: The cohort for this planned interim analysis consisted of individuals aged ≥18 years receiving 2 doses of mRNA-1273 through June 2021, matched 1:1 to randomly selected unvaccinated individuals by age, sex, and race/ethnicity, with follow-up through September 2021. Outcomes were SARS-CoV-2 infection, and COVID-19 hospitalization and hospital death.

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The vaccination program is reducing the burden of COVID-19. However, recently, COVID-19 infections have been increasing across Europe, providing evidence that vaccine efficacy is waning. Consequently, booster doses are required to restore immunity levels.

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Objectives: To evaluate the effectiveness of the mRNA-1273 vaccine against SARS-CoV-2 variants and assess its effectiveness against the delta variant by time since vaccination.

Design: Test negative case-control study.

Setting: Kaiser Permanente Southern California (KPSC), an integrated healthcare system.

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Article Synopsis
  • A prospective study at Kaiser Permanente Southern California evaluated the real-world effectiveness of the mRNA-1273 vaccine in preventing COVID-19 infections and severe disease.
  • The study included over 350,000 vaccinated individuals and found a vaccine effectiveness of 87.4% against infections and even higher rates of 95.8% for hospitalizations and 97.9% for hospital deaths.
  • Vaccine effectiveness varied slightly based on symptom status and previous COVID-19 infection but was generally consistent across different demographic groups, with Delta variant prevalence noted to rise by June 2021.
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Debate persists around the risk-benefit balance of vaccinating adolescents and children against COVID-19. Central to this debate is quantifying the contribution of adolescents and children to the transmission of SARS-CoV-2, and the potential impact of vaccinating these age groups. In this study, we present a novel SEIR mathematical disease transmission model that quantifies the impact of different vaccination strategies on population-level SARS-CoV-2 infections and clinical outcomes.

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Data from observational studies demonstrate that variants of SARS-CoV-2, the virus that causes COVID-19, have evolved rapidly across many countries (1,2). The SARS-CoV-2 B.1.

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Background: Estimation of the magnitude of the herd effect on invasive pneumococcal disease (IPD) is important when evaluating health benefits and cost-effectiveness of paediatric pneumococcal conjugate vaccine (PCV) programmes and may influence policy makers' decisions on PCV use. Several epidemiological, programmatic, and immunological factors can affect the magnitude of the PCV herd effect. We investigated to what extent the choice of analytical methodology may also influence herd effect estimates.

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Unlabelled: This cross-sectional study assessed the prevalence of bacteria isolated from Spanish children with suspected chronic lower respiratory tract infection (LRTI) for whom bronchoalveolar lavage (BAL) was indicated. BAL fluid (BALF) was collected from 191 children (aged ≥ 6 months to < 6 years, with persistent or recurrent respiratory symptoms, non-responders to usual treatment) and cultured. Nasopharyngeal swabs (NPSs) were also obtained and cultured to assess concordance of BALF and NPS findings in the same patient.

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